Individual
DR. KIRK BROOKS HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
113 S BROADWAY ST, CANTON, SD 57013-2224
(052) 145-8046
Mailing address
519 N BROADWAY ST, CANTON, SD 57013-1206
(605) 214-5804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1087
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7605300
—
SD
Enumeration date
09/26/2006
Last updated
12/11/2018
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